• Could what you see on the MRI explain Amy’s symptoms (anxiety surges, dizziness, balance issues, early AM cortisol surges)? • Is there evidence of fluid build-up (hydrocephalus) , pressure on the third ventricle, or any shift in brain structures? • Are there any vascular abnormalities (aneurysm, malformation) near the hypothalamus that could mimic a mass effect? 4. About Next Steps • Should she see a neuroendocrinologist (specialist in brain– hormone interactions) or neurosurgeon if something is compressing the hypothalamus?
茦茧茨茩茪茫 Amy’s Gentle Question Guide Understanding the Diagnosis
1. What exactly is pressing on my hypothalamus? 2. Is it benign, and how certain are we from the MRI? 3. Does it need treatment right away, or can we monitor it safely? Treatment & Options 4. Which approach do you recommend, and why? 5. What’s the main goal of treatment — to remove, shrink, or just relieve pressure? Safety & Recovery 6. What are the risks of surgery or treatment, and how do you minimize them? 7. How will treatment affect my daily life — recovery time, fatigue, or hormone changes?
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